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ICD-10 Guide
ICD-10 CodesC44.619

C44.619

Billable

Basal cell carcinoma of skin of left upper limb, including shoulder

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C44.619 is a billable code used to indicate a diagnosis of basal cell carcinoma of skin of left upper limb, including shoulder.

Key Diagnostic Point:

Basal cell carcinoma (BCC) is the most common form of skin cancer, arising from the basal cells in the epidermis. This specific code, C44.619, refers to BCC located on the skin of the left upper limb, including the shoulder. BCC is typically associated with prolonged sun exposure, which damages the DNA in skin cells, leading to uncontrolled growth. Clinically, BCC may present as a pearly or waxy bump, a flat, flesh-colored or brown scar-like lesion, or a sore that bleeds, oozes, or crusts and remains open for weeks. Surgical excision is the primary treatment, aiming to achieve clear surgical margins to minimize recurrence. Reconstruction may be necessary depending on the size and location of the excised lesion, particularly in cosmetically sensitive areas like the face or shoulder. Post-operative care includes monitoring for signs of recurrence and managing any complications related to the surgical site. Understanding the nuances of coding for BCC is essential for accurate billing and compliance with healthcare regulations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various types of skin cancers
  • Determining the exact location of the carcinoma
  • Understanding the surgical margins required for excision
  • Documenting reconstruction procedures accurately

Audit Risk Factors

  • Inadequate documentation of the surgical margins
  • Failure to specify the exact location of the carcinoma
  • Lack of follow-up documentation post-surgery
  • Misclassification of the type of skin cancer

Specialty Focus

Medical Specialties

Dermatology

Documentation Requirements

Detailed clinical notes on the lesion's characteristics, treatment plan, and follow-up care.

Common Clinical Scenarios

Diagnosis and treatment of skin cancers, including BCC, Mohs surgery, and post-operative care.

Billing Considerations

Ensure accurate documentation of the lesion's size, location, and histological findings.

Oncology

Documentation Requirements

Comprehensive treatment plans, including chemotherapy or radiation if applicable.

Common Clinical Scenarios

Management of advanced skin cancers and coordination of care with dermatology.

Billing Considerations

Document any systemic treatments or referrals to ensure proper coding.

Coding Guidelines

Inclusion Criteria

Use C44.619 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and follow
  • Include specific details about the lesion's characteristics and location to support the use of C44

Exclusion Criteria

Do NOT use C44.619 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

11406CPT Code

Excision, malignant skin lesion, face, ears, scalp, neck

Clinical Scenario

Used for excising BCC on the left upper limb.

Documentation Requirements

Document size, location, and margins of the excised lesion.

Specialty Considerations

Dermatologists should ensure accurate coding based on the complexity of the excision.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of skin cancers, improving the accuracy of data collection and reimbursement processes. C44.619 provides a clear indication of the tumor's location, which is crucial for treatment planning and follow-up.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of skin cancers, improving the accuracy of data collection and reimbursement processes. C44.619 provides a clear indication of the tumor's location, which is crucial for treatment planning and follow-up.

Reimbursement & Billing Impact

reimbursement processes. C44.619 provides a clear indication of the tumor's location, which is crucial for treatment planning and follow-up.

Resources

Clinical References

  • •
    American Academy of Dermatology

Coding & Billing References

  • •
    American Academy of Dermatology

Frequently Asked Questions

What is the primary treatment for basal cell carcinoma?

The primary treatment for basal cell carcinoma is surgical excision, which aims to remove the cancerous tissue while ensuring clear margins to prevent recurrence.